Aging/Older Adults

This new KFF brief finds that only 45% of all nursing facility residents and 22% of staff are up to date with their COVID-19 vaccinations. That is a sharp drop from the 87 percent of nursing facility residents and staff who completed their primary vaccination series. The U.S. Centers for Disease Control and Prevention (CDC) currently defines having up to date vaccines as “having received a bivalent booster or having received a final shot of the original vaccines less than two months ago.” The share of residents who are up to date ranged from 73 percent in South Dakota to 24 percent in Arizona. Among nursing home staff, the share ranged from 48 percent in California to 10 percent in Alabama.

As part of the Biden-Harris Administration’s ongoing commitment to increasing health data exchange and investing in interoperability, CMS issued a proposed rule that would improve patient and provider access to health information and streamline processes related to prior authorization for medical items and services. CMS proposes to modernize the health care system by requiring certain payers to implement an electronic prior authorization process, shorten the time frames for certain payers to respond to prior authorization requests, and establish policies to make the prior authorization process more efficient and transparent.

This report examines weaknesses in the home and community-based services ecosystem and outlines a roadmap to expand community living options that meet the needs of people with disabilities. The report builds upon findings in NCD’s 2021 Progress Report: The Impacts of COVID-19 on People with Disabilities (2021) and Deinstitutionalization: Unfinished Business (2012) and illustrates how each piece of the HCBS ecosystem must operate at full capacity to ensure that appropriate community living options and support systems remain available to the disabilities community.

This blog post reviews considerations to strengthen provider networks in California to ensure that older adults and people with disabilities receive services that meet their needs. The post focuses on strategies for partnering with three key provider types: (1) community-based organizations; (2) institutional long-term care facilities; and (3) Medicare providers. Lessons from California can help inform other states and Medicaid managed care organizations across the country.

This Kaiser Family Foundation analysis found that 656,000 people nationwide were on state waiting lists for home and community-based services financed through Medicaid waivers in 2021. This new data is among the latest set of findings from the 20th KFF survey of state officials administering Medicaid HCBS programs in all 50 states and Washington, DC.

The annual Medicare open enrollment period for Medicare Advantage and Part D plans ends Wednesday, December 7, 2022. To assist individuals who counsel Medicare clients, the National Council on Aging or NCOA developed a “Medicare Open Enrollment Toolkit”. The Toolkit includes many useful resources designed for professionals, advocates, caregivers, and/or older adults, including a fact sheet on changes to Medicare in 2023; information on Medicare Part A and Part B premiums and cost-sharing in 2023; a 2023 Medicare Part D cost-sharing chart; and other helpful information and guidance.

A recent report by the U.S. Department of Health and Human Services used Medicare data to identifiy certain characteristics or risk factors that placed nursing home residents at an increased risk of discharge. Characteristics included residents with severe behavioral symptoms, residents with psychiatric and mood disorders, residents with impairments that required more staff time, residents transitioning to Medicaid.

Health Affairs has published a new blog highlighting the value of improving health and well-being through establishing community care hubs. Hubs are characterized as community-focused entities that support a network of community-based organizations providing services for health-related social needs. The blog complements ACL’s investments to develop and scale community care hubs across the country including the National Learning Community, and plans to administer grants to support community care hub infrastructure.

The Profile of Older Americans is an annual summary of the statistics from the U.S. Census Bureau, the National Center for Health Statistics, and the Bureau of Labor Statistics related to older adults in the United States. The Profile illustrates the shifting demographics of Americans age 65 and older and includes information on population growth, marital status, living arrangements, income, employment, and health. This year's report includes a special section on family caregivers.

Each edition of the AARP Public Policy Institute's Long-Term Services and Supports (LTSS) State Scorecard has measured state performance against an objective, data-driven set of metrics that illustrate how states were doing with their LTSS systems at a given time. This paper discusses the approach to the 2023 edition of the Scorecard, reflects on what has changed since the Scorecard was first published, and considers the possibilities of future editions.